Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt?

Article Figures & Data

TABLE 1

Child-Pugh classification

Finding	Points
Finding	1	2	3
Total bilirubin (mg/dL)	< 2	2–3	> 3
Serum albumin (g/dL)	> 3.5	2.8–3.5	< 2.8
International normalized ratio	< 1.7	1.7–2.3	> 2.3
Ascites	Absent	Mild	Moderate
Hepatic encephalopathy	None	Grade 1 or 2	Grade 3 or 4

TABLE 2

Reported rates of complications from transjugular intrahepatic portosystemic shunts

Complications	Reported rate, %
Major	3
Hemoperitoneum	0.5
Biliary peritonitis	1
Stent malposition	1
Hemobilia	2
Renal failure requiring dialysis	0.25
Hepatic infarction	0.5
Hepatic artery injury	1
Liver failure	3
Minor	4
Medically controlled encephalopathy	15–25
Transient pulmonary edema	1
Fever	2
Entry-site hematoma	2